| NPI | 1386727790 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery Hand Surgery |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: WI 23747) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2007-07-08 |